anemia
Instructed in new medication Actos to improve glycemic control. In addition, warned of possible S/E such as headache, edema, heart failure, sinusitis, pharyngitis, tooth disorder, anemia, hypoglycemia (with combination therapy), aggravated diabetes mellitus, weight gain, myalgia and upper respiratory tract infection.
Instructed in vitamin B12, ordered to management anemia and in S/E such as itching, urticaria, pain or burning in injection sites, transient diarrhea, transitory exanthema, etc.
Instructed in new medication Tylenol to manage mild pain or fever. In addition, warned of possible S/E such as hemolytuc anemia, neutropenia, leukopenia, pancytopenia, liver damage, jaundice, hypoglycemia, rash and urticaria. Consult prescriber before giving drug to children younger than age 2. Tylenol is only for short-term use. Consult prescriber if it is given to children for longer than 5 days or adults for longer than 10 days. Instructed not to use for marked fever (higher than 103.1 F), fever persisting longer than 3 days, or recurrent fever unless it is directed by prescriber. Warned that high doses or unsupervised long-term use can cause hepatic damage. Excessive ingestion of alcohol may increase the risk of hepatotoxicity. Breast-feeding women: acetaminophen appears in breast milk in low levels (less than 1% of dose). Drug may be used safely if therapy is short-term and does not exceed recommended doses.
A diet that meets the dietary guidelines will ordinarily have enough iron, folate, and vitamin Bto prevent anemia.
Patient was instructed on factors that contributes to poor skin integrity, such as, immobilization, poor circulation, moisture, heat, anemia, shearing forces poor nutritional status, etc.
Taught that Folic Acid helps to relieve symptoms such as unusual tiredness and diarrhea that can occur with some types of anemia.
Taught that anemia and obesity are factors that may increase the risk of developing/exacerbating Congestive Heart Failure (CHF).
SN advised patient and caregiver that arixtra can cause fever or anemia. Both of them verbalized understanding of instructions given.
Instruct the patient in the aplastic anemia and its causes. Encouraged the importance to avoiding contact to persons known to have serious infections, trauma, abrasions, and breakdown of the skin which could lead to infection. Encouraged that antibiotics must be taken for the entire period prescribed. Encouraged the need to maintain a well-balanced diet.
The patient was instructed in sickle cell anemia in the need to evade persons with infections. The patient was advised to blow the nose gently, evade coughing.